Doctor insights on:
Dermal Filler Side Effects

1

Definitely:
Dermal fillers like juvederm and Restylane (dermal fillers) work by restoring volume to the skin or fat beneath the skin that has been lost because of aging or repetitive motion. Restoring this lost volume softens facial creases, resulting in a more rested/more youthful appearance.
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2

Very rare:
Supartz (hyaluronic acid) injections are a type of "visco-supplementation" treatment for knee arthritis. Side effects are exceeding rare, but any injection into the knee joint could introduce an infection or cause an inflammatory reaction to occur. I have used supartz (hyaluronic acid) in my practice for nearly 14 years on a regular basis without any documented side effects.
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Combination:
The naso-labial folds are formed when the cheek tissues start to shift downward. Often, when the cheeks are lifted, filled and contoured with Radiesse (dermal fillers) and Voluma the naso-labial folds soften. However, the folds can be addressed directly with Juvederm.
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6

I avoid "permanent":
Though Aquamid (and others)is not available in the US, it is in other countries. (if it's being offered in the US you should avoid that office altogether). I generally recommend that my patients avoid permanent fillers though, especially when they are young like you, because you don't know how your face will change over the next 20 years. You may end up with volume where you don't want or need it.
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10

Variable:
Depends on the degree of volume correction needed. On average i will use 1 syringe for the lips and no more than 2 if both upper and lower lips need a fair amount of volume. Remember, it's always easier to come back for another treatment than to deal with too much.
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Should be OK:
As long as your doctor( who prescribed the medication ) is in agreement . We had successfully used ha filler with patients on methottexate and humira (adalimumab). Discuss this with your doctor, every patient is different and responds differently.
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12

Usually not:
When properly placed, " radiesse" is a
natural product (calcium in a gel) that lifts and fills the cheeks, smoothes out the folds around the mouth and improves the jawline. The risks are small and include lumpiness, swelling and bruising. So check out the person injecting your face, as you only get one.
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13

Safe Choice:
Radiesse (dermal fillers) is a safe choice for use as an injectable filer. There are other options available as well. You should consult with a board certified plastic surgeon or facial surgeon for advice. You only have one face and should not trust it to just anyone who says they can use an injectable filler, since the result will be with you for 9-12 months!
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15

Crosslinking:
Corneal cross linking is a procedure designed to strengthen the chemical bonds in the cornea to prevent or stabilize ectasia (usually from keratoconus or following lasik). This uses uv light and a photosensitizer. Possible side effects include corneal swelling, infection, temporary haziness, and scarring. See http://eyewiki.Aao.Org/corneal_collagen_cross-linking for much more detail.
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17

Radiesse (dermal fillers):
Radiesse (dermal fillers) is an injectable substance to enhance depressed areas, wrinkles, fold, etc
it is thicker than retylane or juvederm and last longer.
It should not be injected superficially as it can beobvious, and may be a bit irregular. It also should be done by well trained doctors to avoidvisible deformities.
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18

Supartz (hyaluronic acid):
Yes sometimes you can get an inflammatory reaction from the injection with some swelling and pain. This will usually resolve. Also if you have an allergy to eggs, supartz (hyaluronic acid) may be a problem.
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19

Few & Minimal:
Avoid Botox if you are pregnant or breast feeding or have neurological conditions. When used appropriately for the reduction of lines of expression in the upper 1/3 of the face, Botox is incredibly safe. In my experience of 1000's of injections, the most common side effect is a small bruise (<5%). Headaches & swelling (rare). Eyelid or brow drooping (exceedingly rare).
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